Video Guided School Based Treatment of Youth Depression

青少年抑郁症的视频指导学校治疗

• 批准号: 6674762
• 负责人: JOHN RICHARD WEISZ
• 金额: $ 60.17万
• 依托单位: UNIVERSITY OF CALIFORNIA LOS ANGELES
• 依托单位国家: 美国
• 财政年份: 2003
• 资助国家: 美国
• 起止时间: 2003-09-10 至 2007-06-30
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/6674762
• 关键词: African American; Hispanic Americans; adolescence (12-20); behavioral /social science research tag; caucasian American; child mental health service; clinical depression; clinical research; coping; gender difference; human subject; interview; patient oriented research; psychotherapy; questionnaires; racial /ethnic difference; secondary schools; student health services; technology /technique development; videotape /videodisc

DESCRIPTION (provided by applicant): Youth depression is a serious, impairing condition. Its prevalence increases sharply following puberty, highlighting the public health significance of treatment in early adolescence. Our long-term goal is to develop and refine treatment for youth depression that is effective and deployable in a variety of youth settings. Here we focus on the setting in which evidence suggests most youth mental health care occurs: the school. Efforts to disseminate empirically supported cognitive behavioral therapies (CBTs) to schools have not been very successful to date, perhaps for at least 2 reasons: (a) the design of most CBT programs may have limited user appeal, and (b) CBT programs have not been shown to outperform current school-based interventions, so there is not a compelling logical case for change. In this application, we address both potential problems. To address the user appeal issue, we have drawn from the literature on robust design to restructure our own CBT program--Primary and Secondary Control Enhancement Training (PASCET) as a video-guided treatment. To address the case for change issue, we propose a trial of our video-guided treatment with a commonly used school-based treatment approach as the comparison condition. In the trial, 6th and 7th graders who meet diagnostic criteria for depressive disorders will be randomly assigned to the two conditions, matched for group format and treatment dose, and all treatment will take place in middle schools. Depression and other outcomes will be assessed at post-treatment and a 1-year follow-up.

描述(申请人提供)：青少年抑郁症是一种严重的损害健康的疾病。它的患病率在青春期后急剧增加，突显了在青春期早期治疗的公共卫生意义。我们的长期目标是开发和完善治疗青年抑郁症的有效方法，并在各种青年环境中部署。在这里，我们把重点放在有证据表明大多数青少年心理健康护理发生的环境：学校。到目前为止，向学校传播经验性支持的认知行为疗法(CBT)的努力并不是非常成功，可能至少有两个原因：(A)大多数CBT项目的设计可能对用户的吸引力有限，(B)CBT项目尚未被证明优于目前基于学校的干预措施，因此没有令人信服的逻辑理由进行改变。在本应用程序中，我们解决了这两个潜在问题。 为了解决用户吸引力问题，我们借鉴了有关稳健设计的文献，以重组我们自己的CBT计划--初级和次级控制增强训练(PASCET)，作为一种视频指导治疗。为了解决个案改变的问题，我们建议进行一项视频指导治疗的试验，并以常用的校本治疗方法作为对照条件。在试验中，符合抑郁障碍诊断标准的6年级和7年级学生将被随机分配到这两种情况下，小组形式和治疗剂量匹配，所有治疗将在中学进行。抑郁和其他结果将在治疗后和一年的随访中进行评估。